Individual provider Active NPI

Shaan Hemant Shah, M.D.

  • Diagnostic Radiology Physician
  • Macon, GA
National Provider Identifier
1902002280
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
73224 Issued in GA
Practice address
350 Hospital Dr
Macon, GA 31217-3838
Phone
(478) 765-7000
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT191658 PA
Diagnostic Radiology Physician 2085R0202X 73224 GA Primary
Diagnostic Radiology Physician 2085R0202X 240138 MA

Addresses

Primary practice location

350 Hospital Dr
Macon, GA 31217-3838

Mailing address

2465 Red Wine Oak Dr
Braselton, GA 30517-7014
Phone (215) 840-4975

Other practice location 1

535 Jesse Jewell Pkwy SE Ste A
Gainesville, GA 30501-3772
Phone (770) 534-9729

Other practice location 2

200 W Academy Street
Gainseville, GA 30501
Phone (770) 282-8820

Other identifiers 1

IdentifierTypeStateIssuer
003156534CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150410001488 GA Practitioner - Diagnostic Radiology 4981869716 Reassigns benefits to 5 organizations
I20260512003635 OH Practitioner - Diagnostic Radiology 4981869716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians
Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians

Practice addresses (Care Compare)

1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415

1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-9000

1515 River PL
Braselton, GA 30517-5602
Phone (770) 848-6150

227 Mountain Dr
Dahlonega, GA 30533-1606
Phone (770) 219-9000

2465 Red Wine Oak Dr
Braselton, GA 30517-7014
Phone (770) 282-8820

316 N Broad St
Winder, GA 30680-2150
Phone (770) 282-8820

3425 Buford Dr
Suite 100
Buford, GA 30519-8785
Phone (770) 282-8820

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 535-3553

Hospital & facility affiliations

  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT191658PAMDInternal Medicine Physician
73224GAMDDiagnostic Radiology Physician
240138MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Dec 1, 2025 Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Jan 13, 2015 Accepting new patients
Summit Radiology Services P C Diagnostic Radiology CurrentSince Aug 5, 2025 Accepting new patients
Summit Imaging Services LLC Diagnostic Radiology CurrentSince Aug 6, 2025 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine Past Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients
Chesapeake Radiologists LTD Diagnostic Radiology Past Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

3425 Buford Dr
Ste 100
Buford, GA 30519
Phone (678) 765-6060

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

108 Prominence Ct
Ste 120
Dawsonville, GA 30534
Phone (706) 344-6944

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

104 Fairview Park Dr
Ste 100
Dublin, GA 31021
Phone (478) 272-3766

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

1250 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Phone (770) 531-2444

200 W Academy St NW
Gainesville, GA 30501
Phone (770) 800-0041

535 Jesse Jewell Pkwy SE
Ste A
Gainesville, GA 30501
Phone (770) 534-9729

3137 Frontage Rd
Gainesville, GA 30504
Phone (770) 219-0500

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

316 N Broad St
Ste 230
Winder, GA 30680

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1902002280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 RED WINE OAK DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305177014",
            "telephone_number": "215-840-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173838",
            "telephone_number": "478-765-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Jesse Jewell Pkwy SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013772",
            "country_code": "US",
            "telephone_number": "770-534-9729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Academy Street",
            "address_purpose": "LOCATION",
            "city": "Gainseville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "770-282-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHAAN",
        "middle_name": "HEMANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT191658",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "73224",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "240138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003156534C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.